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NPI Code Detail

MEDICARE: APPLESEED COMMUNITY MENTAL HEALTH CENTER INC

MEDICARE: APPLESEED COMMUNITY MENTAL HEALTH CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)0002OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215961594
Entity Type Code : Organization
Provider Name (Legal Business Name) : APPLESEED COMMUNITY MENTAL HEALTH CENTER INC
Provider Business Mailing Address
First Line : 2233 ROCKY LANE
Second Line :
City : ASHLAND
State : OH
Zip : 44805-4701
Country : US
Telephone Number : 419-281-3716
Fax Number : 419-281-4605
Provider Business Practice Location Address
First Line : 2233 ROCKY LN
Second Line :
City : ASHLAND
State : OH
Zip : 44805-4701
Country : US
Telephone Number : 419-281-3716
Fax Number : 419-281-4605
Authorized Official
Title or Position : BUSINESS MANAGER
Name : DAWN M ILES
Credential :
Telephone Number : 419-281-3716
Provider Enumeration Date : 07/10/2006
Last Update Date : 09/12/2018

Similar Medicare Providers

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Practice Location Address:
2233 ROCKY LN
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44805-4701
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1205924875 — MS. JOYCE ELAINE SMITH BS, LSW
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1508983537 — FRANCES IRMA SWARN M.D.
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1972727311 — DEBORAH A BROOKSHIRE
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1487878872 — PAULA S COVEY
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1598989915 — CYNTHIA L HUDNUT LSA
Practice Location Address:
2233 ROCKY LN
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44805-4701
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Directions to “APPLESEED COMMUNITY MENTAL HEALTH CENTER INC ” Practice Location

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